CHESAPEAKE PHYSICAL AQUATIC THERAPY, INC. (NPI# 1487708178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487708178 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE PHYSICAL AQUATIC THERAPY, INC. |
| Practice Address |
7080 Deepage Dr. Columbia MD 21045 |
| Practice Telephone | 4103817000 |
| Practice Fax Number | 4103813779 |
| Mailing Telephone | 4103817000 |
| Mailing Fax Number | 4103813779 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-07-02 |
| Authorized Official Name | MR. JARED STEWART GOLDSTEIN (OWNER/PT) |
| Authorized Official Telephone | 4103817000 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE SHIELD DC | S429 | 01 |
| MD | BLUE SHIELD MD | KBX3 | 01 |
| Street Address |
7080 DEEPAGE DR. |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406200 | Alyssa Leonard | Physical Therapist | 7490 S Lavender Dr, Columbia, MO 65203-4538 | 2020-10-27 |
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1366069395 | Taalor Stevenson | Physical Therapist | 10 W Nifong Blvd, Columbia, MO 65203-6011 | 2020-06-25 |
| 1457977498 | Windy Matthews-ellinger | Physical Therapist | 1719 Heyward St, Columbia, SC 29205-3211 | 2020-06-24 |
| 1962026518 | Tiffany Nichole Harbison | Physical Therapist | 10 W Nifong Blvd Ste 121, Columbia, MO 65203-6006 | 2020-05-29 |
| 1558992404 | Progressive Physical Therapy, LLC | Physical Therapist | 6410 Dobbin Rd Ste G, Columbia, MD 21045-4774 | 2020-01-30 |
| 1467082552 | Linnen Pediatric Physical Therapy, LLC | Physical Therapist | 165 Rice Meadow Cir, Columbia, SC 29229-9378 | 2020-01-17 |
| 1710545777 | Amanda Lorraine Gubbels | Physical Therapist | 6041b Garners Ferry Rd, Columbia, SC 29209-1304 | 2019-06-04 |
| 1790243624 | Kara Juliann Lane | Physical Therapist | 7130 Minstrel Way Ste L110, Columbia, MD 21045-5201 | 2019-03-11 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.